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KELLIE LYN RAE LISW
NPI 1700076817
Social Worker - Clinical in Columbus, OH

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
5743 FOREST ELM LN APT B, COLUMBUS, OH 43229(614) 582-9374 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie Lyn Rae Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE LYN RAE LISW (NPI 1700076817) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (7839) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1700076817
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLIE LYN RAECredential: LISW
Location Address5743 FOREST ELM LN APT BColumbus, OH 43229-3753
Mailing Address5743 Forest Elm Ln Apt BColumbus, OH 43229-3753 · (614) 582-9374
Phone(614) 582-9374
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 26, 2007
Last NPPES UpdateJuly 16, 2013
✔ NPI 1700076817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · 7839
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5743 FOREST ELM LN APT B, Columbus, OH 43229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Lyn Rae Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769745447
PECOS Enrollment IDI20180410003216
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Rae's NPI number?

The NPI number for Kellie Rae is 1700076817. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Kellie Rae located?

Kellie Rae practices at 5743 Forest Elm Ln Apt B, Columbus, OH 43229. The listed phone number is (614) 582-9374.

What is Kellie Rae's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kellie Rae enrolled in Medicare?

Yes. Kellie Rae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kellie Rae accept?

Health plans from Molina Healthcare list Kellie Rae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Rae was last updated on July 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.